| NPI | 1265574933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRIAN QUINN Owner 715-341-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 497025) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 896025) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-04-09 |